HomeMy WebLinkAboutBldg Permit 05-0229
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DareC'd
.' ;17,0
.....,'
--,,,/
While
Pink
Yellow
File
City
Applicanl
I PERMIT NO. 05. OZ2.1
,
(Please tvoe or urint and sie;:n at bottom)
ADDRESS
J3~21
IL€ r\{Jd~
~
ZONING (office use)
/11
LEGAL DESCRIPTION (otTice use only)
w,Jsw E-h.Jes
~'::e~~~lk 4- reef (Z~/e-
(Address) 6Zj I~af+- ~~k /.vr'\c
LOT '1 BLOCK
(
ADDITION
PID ,,::)5 -1/13 ~ () a7'-D
(Phone)
6;"'1- U./.Lf 73b
-r-r'()2,=?
,
~C~~~~ Name) ~j""'- G.JmJu; l.ks
(Contact Name) ~IU'_ ~ ""'u'I',^
(Address) 27..I.H (nr.li... 0 IJ.v...t. L-kvf/f". hllI_
I /
TYPE OF WORK ~ New Construction ~ DPorch ORe-Roofing ORe-Siding
f::jAddltion OAlteration o Utility Connection 0 Misc.
(Phone) q'll-i.j (,~-/'II
(Phone) -b/L -Ilk-l../f?2. C.
S'CJvl/'I
DLower Level Finish 0 Fireplace
CODE: D(lI.R.C. DI.B.C.
Type of&nstmction:
Occupancy Group: A B
Division:
I
E
II
F
1
IIIIVVA
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $ 31S;() /) D
(excluding land)
tJO p~ - r-Jo L. L, i=T,.), S'M-
x
at I have furnished inf m ion on this application which is to the best of my knowledge true and correcl. I also certify that I am the owner or authOrized agent for the
r Iction will conform to all existing state and local laws and will proceed in accordance with submitted plans_ I am aware that the buildmg
urthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspectlOns.
1'16., r-Jr--oc,-
Contractor's License No. Date
/,
rtj/{/'i; 000,00 I Park Support Fee # $ ~ I
Permit Fee $~? g. C-o SAC # $ ltf5o_ 0 0 I
Plan Check Fee $ /"j/5:.Z? Water Meter Size 5/8"6 $ sa 0 . t!J 0 I
State Surcharge $ ZO 7. S;-tJ Pressure Reducer $ 75.DO I
Penalty $ Sewer/Water Connection Fee # $ I <:iYJ.f)O I
Plumbing Permit Fee $ /QD.OO Water Tower Fee # $ InDO. 80 I
Mechanical Permit Fee $ ./eo, 0 tJ Builder's Deposit $ 15"" . &0 I
Sewer & Water Permit Fee $ 3'5'.50 Other $ I
Gas Fireplace Permit Fee $ -o/tUJO TOTAL DUE f!a11J. 3 3/.05" $11 It? 4-. 7~1
-rJ V <fIOcJ
This Application Becomes Your Building Pennit When Approved Paid /I I (~ U' 10 , I ReceiPt No.
~~ 317-~~5 Date '.-<;-'...sl-C- By n
J 0-
Building Onicial Date
ThIS IS to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
:~I'~~C"'ificate"fZ;;;~;llow'comtmz;,:;;,,,;;;,..,~t:"ficat:?~m""b'
Planning Director 'Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CC"'~~~ PRIO""
I-. ~
U rn
jlLbjte . Buildina
CC;."'1"rv . Enqineeriiiii>
Pink-. Planning
Th.. ('..nl... <If lhl' I...... Counlt'y
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
v
"
,
-~.
-; /---
-") - ./ ..,,>.~ ")
-'
The Building, Engineering, and Planning Departments have ,reviewed the building permit
application for construction activity which is proposed at:
,''"'';
./ ::;t .1-
.~ ~.-
)"\.
Accepted
x
Accepted With Corrections
Denied
Reviewed By: IfI} [3 Date: --.3 - 2f-oS-
Comments: Sp.e Reverse Side for Additional Information!
'DL:: ,... .......v .......< of /)/ ,."., f- d. I.J' /$0..... LI/I' ~ -I- {} t lJ. V
I
~
"'t'e Att"..hmpnh' 1) Gradin~ Plan. 2) Erosion Control Measures
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
a,ny of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
~~
Ue~
,..-11I1iiile - Build.'M--"'"
Canary- - t:ngh,eering
Pink - Planning
rhr('f'Rlrr"rlhfl.lkf("oun""l
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAMEOFAPPLlCANTAcldcL/~ ~ t3/~
3-/7- S-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have .reviewed the building permit
app"oolioo to< OO""'i; a9:; ;:Oh ;'Z:; '1f be-
Accepted Accepted With Corrections /
Comments:
Denied r
Reviewed By: ~' ~ Date: 3/2- ;; /os
t?~ aLl' ~,Alo ~n_1v
t'J.P~~ ~ ~,L ~ ~. ~ <J.a
~ 2-Y'~u~~,
II
u
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
"
,: .ii~
Th~ ('tnltf uf thr L.kt ('ounlr}'
White - Building
Canary - Engineering
('" Pink - Plannlng.J
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /
APPLICATION RECEIVED
--
The Building, Engineering, and Planning Departments have ,reviewed the building permit
application for construction activity which is proposed at:
. 1-
ACcepted
Accepted With Corrections
/
Denied
Reviewed By: ~ ~ Date: 3/2..5/05'
Comments: JU.JUf a-/{) ~~', No ~
"->d ~ Lr ~ ~ -::t~ ~
~~~"
,he Cundli.1uner ana utner .t1C!f'h.nical
Units Cannot Encroach into Rt.. ......b.-..d
~lrte Yard Setbacks
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
04/07/2005 13:22
5077445565
BADGER EXC
PAGE 01
. .. ,... . h. ..... "'.. I fl.l u.. .."II.. "II"'''..
... ~ I ~ OJ ( r (\ ~ lJI'I i-\ f\.t.
I(JUU.
Due Rec'd
CITY OF' PRIOR LAKE
SEWER AND WATER PKRMIT
,
I
f~L>'.\"O! "O""lIMl!I/lllbonJ)
ADDR:fSS ,
\~ql\ Ke()ISI'~ ~~
I LEGAL DESClUY110N (ollie ... anI))
! LOr SLOCK ADqrnoN
I OWNER I"' . I J . { r
I (Name" VU(J..D.J.,qrH\ l..M~~
I (Addles,) 'd:l.l 3~ LOG&-.. ~
, CA.drmY
APPLICANT /J .I _ r r:-:, '"' CITf'
(Name) \':>CluuJ\. V t:>X('l:~()~ (Phone) 57>1- /fL{-\.ju"V
I (Ad<iml) R.3>~S' /.)J 70"t-h. .s--t<'~ Lc/h...\J..(o 6~.t
I ~~ . ~ ~~
(Conc.", Pert on) ::::;'c., .' . " S:. fY\CIY\ (Phone)..:)~ .q:i;;:;
I ' . Y I Ii "
! APPLlCANTSIONATtJRI!)_.~~ DATI! '-1- 7 -oS
, Y' 'A-'A-a
i~:" ~,~ I PERMll'NOU' U ~ ,I
',0.1, """~ ,
ZONINo(.""~'
PlD
1.3c..u-l.~ (Phone) qs;;..-Yt9-/~//
~L~
ICllYl
..::J~UW
(Zlo C04<)
I
Size oftp:r~~~~ ~~~~~ COMPLETE BELOW
LocatlO~f illY couplings from SlrIlcrure feel.
Typo of Is ewer pipe, 0 ^~ ~ PVC 0 Cut Iron
E:ltimat~ lonath of sewer line ~~ feet.
Clellll otr (if required) located at _.,....: feel from' structure.
: FEXSCHEDULE
Re,id'ntialllwlll1ld water Ii/ll .pMeollon S3!,50 IndulO'ia\' Com'! '" M_lti.rlllllly
s.~'<r conn"tlon only ! S I 1.50 Wller connection only
E$tima+ Co,t S BulldJDI Permlt~. ,."
S ,WER AND WATER PERMIT PEE S
S"A TB SURCHARGE S
T )TAL PERMIT FEE S
w. a/job eoe! with a $39.50 minimUlll
$17.$0
(orne. C..t 0"11'
i
l'
I
..~. PAID l1Ii
.~/LO/NG rn.,
Pt=RMr,.
I Thll Applltllion aecom.. Yo~r Bulldlnt Parmi! When APprovldc1 ~"r'k. ," -.--.-.
i i D,F ~.~~r~ !;, !! "I,';! i
l ...,dl.. om~.' I 0", .' fj 1 APR >> II 2665
114 h.ur no"c. (or alllnlp",i... (PS1) t~ISO. rU;(~l) ~"..j2.s
! I J,f ---~~:-.;'-;. ,:-r:~----'
.. ".Recelpt No.
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-,._--~--~-----------~-_._- '.~- ----- -- - - -- -.--'- ,-,._~--"-
',":', "
. CITY OF PRIOR LAKE
BEATING/AIR CONDm'''''.lb.l.~G/FIREPLACE PERMIT
Dltd&e'd
~::. ~ I n.tlMJ:fNO.~ZZD'l
7.WIM' ~ .'. .' -,~
fllwet!lll!:or-1IIlIdp"- . . .
. L~m &j/]<:/~ #'..1 ZONJNG~1Ifl
/I
LEGAl.....,.......... ..w'.. (oIke-omlJ')-
LOT BLOCK ADLlu,u"
Pm
g.v::tVtAad/?n.LJ/ff1m1-1!tn1e/l<, (PIIolIe) 4tA--/lj/!
(~) 1.-Y'.--/17/ . I U)//JA 1/7/17 k .
, ' . /"" "
=:t~#jdJ~~;;~r~: ~~~~)~"
If ~ (CIly) : (Z;PC8de)
'(Couw:r.PmoD),/U,~-h/(hh (Pbcne)' VL//J-:2,//q.
APPJ..lCANTSIGNA'I'URR 7c?~~M..I:? '>>ATI! .r(//I~ '
, . ,
,,_ APPUCANT PLEASE COMPUTE BELOW
~.. C(jNSTJWCllON D!lEPI,AC:ENENT. 0 ALlERA.TIONS .' .
FmNACEM.UEANDMODIlL /""A.JL)Y&4~LJ2't!...-//D ' FtlEL ~ 1l~
fUJE$1ZE,{ZP '. REtuaNu.""......nS..../O INPUT /0/a'P7 oumrr /IOI/XX)
.. ~ .7l
HBATlNGO........ .I,:~~~PLANT
'LEASt NOTE:,
Air CaaiIJtI-.". t1IIIlo
.CIIIIIIlIl1l',. ";,, Imo
bpiind 9idil 'in
S,1l .. to
'IYPBOF"'......""s.
..~~~...
~~f,_
~::;- .
bolhll.
rpoclal DMooI
CIllcr cmoos
r...........ACEMAKEANPMODlSL _
I~""...., I"MuItH'IIIIiIJ
Ro:o;dcn!I&L HaIlns .t. AJC (N... 011, ".1. )
RMidenlill, H-.. 0IIty (New c-aDll)
EltimaIed COlt S
RES ....l.Ioi.1 ....Eo
1% of Job ...... Jl.oIl4adoI, Goo fiRplece
S39.~1IIhdmuIIl . ..--..,.',
199.50 ~aI,AddiIi_.t.A1,"".;..".
S600 . RaIdcmiII, N:.. Old)' .'
m.so
, 139.50
S39,~
\.
BlIlldlas PlllIIIll I'
Ill... ~I
-
. PAID WITH
: Slt:JILDING PERMIT
$ . .: ,,, .
._____._._.,c:~__;_l~, ..
I il"IWdI" '.'. ,I ',1., c: i~~.' No.
iFJL'-' ". ",' ' ..' I "~
1, f: F'1AY 1 3 2005' i .
HEATING PE.RMIT FEE
STATE SURCHAkGE .
TOTAL I"BBMlT J'EE
(OIIIot 1/10 0017) .. .
1"1. ,,"ppIlalloa --... Yaar ......'PImIltWll8 A"".. ,
.
14 bObr ._Ibr.U I.,. --... <'521 441, III5O.I'n (9$11441"'~
,8y.__ ._ .....__.___
Dlde Heed
CD'Y OF PRIOR.' .A.ICU PLUMBING .l AWI..AlT
~'I!--_.,..J'
j\l,7!a;2/ K{;n)jYM-J1}}/) kr)-f~.
, ().
LEGAL D!SCRlP11ON ___"""
~5.. '; I PElDDTNO.... 'J.'Z,q I
.........10...........1..........
LOT ~ A....aW'.......;w:..~
PID
~~. CtltSW11.fi1)YlNR ~lili0~ 11 e.U
.~) ''1-1-11, '1 )1~!,\ /1/1. lk\ ~..
APPLI~d1drJ JI I . (l'IaIc) LJLI()- ~ -1'1 OJ
(=)~\^,~b:n~. .' / ,~"Z.,-:r1-
(,AA T ~ (OJ.y) .' . (2jp Code)
,.,...,_I'1AS!ilLk:l .5L~/1€ ...... L{ 'in-;".,,?']
AWUCANTSIGNATfIKEj{[ A/lPJ. ~ /OA././ -" DAD Sl/I/n::- .
APPUCANT pr........a>. COJIPLR'J'E 1mf nw
QaaIltlly l.'Jpe ...~.. q '" ,1, 'l.'Jpe oIJib.1lo.. 4-
- - D .. - .'
/ ~ ~T8b....'ar"...._ "'A 'I_I .' ~.c.h-t-\ lu ~~.Lf-':. ,1:1 _
~... /I,~.: V"Hr::llII!I- .
I ftxi. tiailI. - w_ &.db..
~ i:.",.,_~~~",~! . / ~~~..........._-)
/ :i...ialIIYTaIJ'{l ar1 1(1I1 11'''' .:'. ".'
. 1: . "''''~=
( "lu. I .'. SIll If . "'.ft__ Ny
l~) IiIb . IS:. w.:.. A- - ;r.l. Tell
i' I Jd: fiWSiDlr. I.iwa ~
! ,. --":> vr..... ctu. (Tc6It) Uihc:r
J'D." .......UlJt.
. JllduIUill. c....". ....1 a:NIIIlWImily.l%otjab_ willi. SJ,.5ll .".."..
,tel' _;Now Oae a: 1'00 . \, ,i:, 199.$0
... ,I, ,I ~ MdlIIalI& A AilInIlIahs SJUI
PAID WITH .
~iLPING PERMIT'
at ............ II' .
'-'
.J
~~
.'
: '. ~y I 3 ZUU3 . By
.... ..:. tm)AJJJ.._~~~"J
i'-'''-"''"
\Ollloo v.. QoIjo)
11010&1.- .
I.., . y_......~..... ': I' ,I
. hid
--......
--_.._._-~--"'----_..._--,,--,-.-
..- _.~-_.._._._~,---_._-
- ----_..._._--_.._.~---".- .---........---.-.---
CITY OF ;r".8jl LAKE
HEA TING/kIR CONDITm'llllI!M~/1'1KEPLACE PERMIT
D~te Rec'd
s: 18. os
I. Pink
2. Green
3. Yellow
~::y. T. PERMIT NO. 05. 02291
Applicant. t
(P1ease~el2:r nrint and siQ]l atbottom)
ADDRESS
l~qa\.I<eN~~YlcAt 010 A\re.. .1YlocLob:: ,mtJ
l ~
LEGAL DESCRIPTION (office use only)
ZONING (office use)
LOT BLOCK
ADDITION
PID25.41.3, 009,0
~':e~R CL\C\c\;~G. 10 .wOf'0<5
(Address) dd\3'3 L..10N A\fe. - LaJ:.e\.J&e.. rnr-J
~~;~~ANTb I CJW\YJq J-.\ eOI-+h -t UOf'0e
I (Xj Elcl&C\cb J;n0el' -JQ(dO~
. (Address)
(Contact Person) J! m 0h,rl\\e~ (f3
APPLICAiNTSIGNATURE 11m \..')\1', m~ IDA
(Phone)
4hq-I~(1
(Address)
(Phone)
rnr0
Y<1;J,Qalb
55<35 d--
-
(City)
(Phone) lj q d ' q cnb
DATE 5!i~105
(Zip Code)
"-"
APPLICAN1'l'LEASE COMPLETE BELOW
DNEW CONSTRUCTIO}/ 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL N o.i Go S
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants
OGravity
o Mechanical
OAir Conditioning
OVen!. System
o Steam .
D Hot Water
D Radiation
o Special Devices
DOther Devices
~\joa 1 R-- 011 ~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost >( Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Building Official
Date
$ :?Jo,.0Q-
$ ./.50
$ An "n
/'
IPai~
I Da~ IB.~
$39.50
$39.50
rJY
yJn'O #
I>V(1I
Rece~ No --- I
/~/~
V7/'
Residential, Heating & NC (New Construction)
Resideotial, Heatiog Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL P.ERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for a1llnspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Cree~ Avenue, Prior Lake, MN 55372
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS -'1'2,/ NA 1'MJ76~ AJls-, . .
NATURE OF WORK AJGIAJ ~~l!1S.rA2l/!:Tid~. IJo lJt1'e1L . AArlI..I.. /f:flJtr"
USE OF BUILDING ..s;.I"f t). . -
PERMIT NO. fJ ~ - 1- J.q DATE ISSUED 3/1~11J SO
CONTRACTORC/.t~J)KI"fo.J ~ 1fSr4/1l dlMs'.PHONE4IIl'-:J'~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR. , DoVE /
~f WS/oy
I FOUNDATION (Prior to Backfill) I IJ()'1- I r If} ItJ !>'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS J I ,
SEWER I WATER I SEPTIC J1f/} '11//-10;:5':
FRAMING '#/.Ai.. '5/i.~ os"
INSULATION ~ SI j 7 /06
ELECTRICAL S-/z ~ 76 5 -
PLUMBING ~ f//7/aS
HEATING (if required) ~.i" ~7'/"S _
FIREPLACE _ ~~~!05
GAS LINE AIR TEST ;141;' -I f: f/. ~ 49/oS/
COVER NO WORK UNTIL ABOVE HAS B~EN SIGNED _
1/.A7N"/~ . IN/tv Ift1- ffrfl4S Jkft: Wl 7fd6~1
Ave'r kC/e/ /~ a f~,Jkctf=INALS /4/7f2:, dcYs e?N!' ~$k-/~'
GRADING (Prior to Sodding) . All? f!.OS: , ,
BUILqING~....../.7 ,CCJ., /,,?f / /r~ r ~ ;y'4r 1I/1( /fJ/ Z7~S/
ELECTRICAL . '?~Y'A.r-'
PLUMBING ]/ Wi 7//f/4S__
HEATING ~ ~s:;0r
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
I FOOTING
FOR ALL INSPECTIONS (952) 447-9850
@:trfifieaft of <IDetUpant1!
CITY OF PRIOR LAKE
~epadment of '!iuilbing Jlnspedion
~ Final Permitted D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the U Residential/ r-J International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances afthe City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY 05-0229
Use Classification _ Bldg. Permit No.
Occupancy Type
_ Type Construction_
L9, Bl, WINDSOR ESTATES
R3
VN
_ Zoning District
Rl
Legal Description _
Owner of Building
Site Address
13921 KENSINGTON AVENUE
LOGAN AVE., LAKEVILLE, MN 5504~
JANE RANSIER
CUDDIGAN CUSTOM BLDRS., 22133
Contractor's Name & Address . /
ROBERT D. HUTCHTNS/~;?'
,/ ~UlI ng Official
Dale /tJ/~7 CJ j-
/
City Planner
Date:
iJ~~IME
/J~...zl ;t~I1S/j'/:"- /1-<-
CONTR.
.~
/~, ~
~~ )
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~7NSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
./
/, ./
/--; .r7 "i /
~
(
...
~/
s - A2?
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/
//k
MWORKSATISFAC ROCEED
./h CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR INSPECTION BEFORE COVERING
Inspector. ~ Owner/Contr:
, &-'
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
UiSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/~ '( '1'.,2/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..,..JiH'INAL
o SITE INSPECTION
OATE
/hrh's-
k~S/Aq;h ~~
./
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
TIME
~~7
o EXIGRADIFILLlNG
D COMPLAINT
D FIREPLACE RI
~EPLACE FINAL
D GASLINE AIR TST
D
COMMj:~TS: i ."-- /
,-0/." r7;, c...1 /~~_ / do--e.
-
~.".C?,
~
hh4./
.----.-
.r--; J-c.e ~ ~ c R
---
h,ha I
/ ,
~'Vhr
.-
c9r c..
&/C
/)..,. - /
(('. .('or?' ~dv /:.~ &o;~_~,;.,c (
- ffi~-/- /~r"-r;~/ qrq/~ ~dnc.4
Fr' V //
, -::1 ./ / /...... /1 ft-
(3I~ed ,'>>d 7"-'/r'e e.J/~ fi....... .1'.4______
~//1 (:('_ c/-zfi/ /o/;/;r-
D WORK SATISFACTORY, PROCEED
~RECT ACTION ANO PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Conlr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
IN$1(()TI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS _'3 HI K tVlC,t''''j Ivv...
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t)S- 2..l r
o FOOTING
IJ FOUNDATION
IJ FRAMING
~~~ULATION
AL
IJ SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~EXI~ LING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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VWORKSATISFACTORV, PROCEED
'd CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: JJI:~ -- Owner/Conlr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
IN$I<<'"
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/J~/ ~C7~J/J.c;
CONTR. ./
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~MBING FINAL
o MECH FINAL
;1,-{S-TIME
:L~
os-=- .,,:2..29
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMME~T9: ~
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o WO FACTORY, PROCEED
ORRECT ACTION AND PROCEED
o CORRECT ~RK. ALL F REINSPECTION BEFORE COVERING
Inspector: ;y.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
JNSNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYI